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Low and depressed nasal bridge: distinguishing preoperative height from postoperative changes

This is page 4 of cases on low, sunken nasal bridges: distinguishing preoperative height from postoperative changes. Review surgical records and before-and-after photos for cases 55–72 of 86.

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How to correct a wide nose and bulbous tip together — Before-and-after comparison
Before-and-after comparison

How to correct a wide nose and bulbous tip together

This is a case of a bulbous nose, dorsal hump, crooked nose, and rhinitis symptoms. Through a closed approach, septal extension using donor rib cartilage and septal cartilage, osteotomy, silicone implant placement, bulbous tip correction, and rhinitis surgery were performed concurrently.

Preoperative condition

Rhinoplasty method considering the nasal bridge starting point and facial proportions — Before-and-after comparison
Before-and-after comparison

Rhinoplasty method considering the nasal bridge starting point and facial proportions

Prominent brow bones, a low glabella, and a drooping nasal tip were corrected following filler removal by inserting a glabellar silicone implant, autologous rib cartilage septal extension, and rhinitis surgery.

Preoperative condition

Closed correction of a short nose and facial proportions — Before-and-after comparison
Before-and-after comparison

Closed correction of a short nose and facial proportions

A low, sunken glabella and a short, blunt nasal tip were improved into a straight bridge line through closed autologous rib cartilage septal extension and silicone glabella implant placement.

Preoperative condition

Surgical planning for rhinoplasty addressing both a protruding mouth and the nasolabial angle — Before-and-after comparison
Before-and-after comparison

Surgical planning for rhinoplasty addressing both a protruding mouth and the nasolabial angle

This is a case where a retracted columella, a bulbous and upturned tip, and a small dorsal hump made a protruding mouth look prominent. Septal extension and lateral osteotomy were planned, and changes in the nasal tip and nasolabial angle were documented following closed rhinoplasty.

Preoperative condition

Supportive structures of a low nose and autologous rib cartilage correction methods — Before-and-after comparison
Before-and-after comparison

Supportive structures of a low nose and autologous rib cartilage correction methods

A low, flat, and uneven nose was refined through closed autologous rib cartilage septal extension, tip and bridge augmentation, deviated septum correction, and lateral osteotomy.

Preoperative condition

Revision rhinoplasty for a contracted nose and nasal tip skin depression — Before-and-after comparison
Before-and-after comparison

Revision rhinoplasty for a contracted nose and nasal tip skin depression

For severe nasal tip skin depression and contracture deformity that developed after infection treatment, remaining Gore-Tex in the glabella was removed, followed by autologous rib cartilage septal reconstruction and dermis-cartilage reinforcement.

Preoperative condition · Postoperative record

Correction methods considering the shape of contracted and upturned noses — Before-and-after comparison
Before-and-after comparison

Correction methods considering the shape of contracted and upturned noses

In a male patient who developed contracture deformity, an upturned nose, and nasal obstruction after repeated surgeries, septal reconstruction and extension using autologous rib cartilage along with nostril lowering were performed via a closed approach.

Preoperative condition

Correction method for a small, upturned nose considering the nasolabial angle and nasal function — Before-and-after comparison
Before-and-after comparison

Correction method for a small, upturned nose considering the nasolabial angle and nasal function

To correct nasal obstruction along with an upturned nose, short nose, and low glabella, septoplasty, submucosal resection of the inferior turbinate, autologous rib cartilage septal extension, and lateral osteotomy were performed using a closed approach.

Preoperative condition · Postoperative record

How to reconstruct a nose upturned from contracture using autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

How to reconstruct a nose upturned from contracture using autologous rib cartilage

Following multiple nasal surgeries and inflammation that led to contracture, an upturned nasal tip, and nostril asymmetry, autologous rib cartilage was used to extend and reconstruct the septum, creating the dorsal hump line requested by the patient.

Preoperative condition

Supportive structures and correction methods for a bulbous and upturned nose — Before-and-after comparison
Before-and-after comparison

Supportive structures and correction methods for a bulbous and upturned nose

To correct an upturned tip, a bulbous tip, and a low glabella while avoiding the use of rib cartilage, a septal extension graft using septal cartilage and nasal bridge augmentation with a silicone implant were performed via a closed approach.

Preoperative condition

How to correct nasal length and the nasal tip together in a long nose — Before-and-after comparison
Before-and-after comparison

How to correct nasal length and the nasal tip together in a long nose

A case of a nose that appeared long with nostril asymmetry after two prior nasal surgeries, corrected using a closed approach with silicone implant replacement, autologous rib cartilage septal extension, and adjustment of the radix.

Preoperative condition

Surgical methods for a bulbous nose and wide nasal tip — Before-and-after comparison
Before-and-after comparison

Surgical methods for a bulbous nose and wide nasal tip

A case report of a male patient complaining of a blunt, wide nasal tip, a drooping appearance, and nasal obstruction, treated via a closed approach with subcutaneous tissue excision, septal extension, and septoplasty.

Preoperative condition · Postoperative record

Surgical plan for revision rhinoplasty with septal perforation — Before-and-after comparison
Before-and-after comparison

Surgical plan for revision rhinoplasty with septal perforation

In a patient with a history of past surgeries, septal perforation, and saddle nose deformity, septal reconstruction and extension using autologous rib cartilage, alar lowering, and direct closure were performed via a closed approach.

Preoperative condition · Postoperative record

A corrective approach addressing both nasal obstruction and a bulbous nose — Before-and-after comparison
Before-and-after comparison

A corrective approach addressing both nasal obstruction and a bulbous nose

To improve nasal obstruction caused by rhinitis and a deviated septum, along with a drooping bulbous nose, septoplasty, inferior turbinate reduction, autologous rib cartilage septal extension, and silicone bridge augmentation were performed using a closed approach.

Preoperative condition

How to correct contracture deformity after multiple rhinoplasties — Before-and-after comparison
Before-and-after comparison

How to correct contracture deformity after multiple rhinoplasties

To improve an upturned nose and cartilage damage resulting from contracture after implant inflammation, stem cell therapy was performed, followed by closed septal reconstruction with autologous rib cartilage, removal of dorsal fibrous tissue, and partial use of a silicone implant.

Preoperative condition · Postoperative record

Methods for correcting a short and upturned nose — Before-and-after comparison
Before-and-after comparison

Methods for correcting a short and upturned nose

A case of improving a short, upturned nose and a retracted columella accompanied by facial asymmetry. Using a closed approach, septal extension and reconstruction were performed using autologous rib cartilage, and the positions of the nasal tip and implant were adjusted to improve symmetry.

Preoperative condition

Reconstruction methods for a contracted nose accompanied by nasal obstruction — Before-and-after comparison
Before-and-after comparison

Reconstruction methods for a contracted nose accompanied by nasal obstruction

This is a case of a contracted nose and nasal obstruction following multiple surgical procedures. After silicone implant removal and stem cell therapy, nasal tip and septal reconstruction using autologous rib cartilage and an inferior turbinoplasty were performed through a closed approach.

Preoperative condition

A staged correction method for a severely upturned contracted nose — Before-and-after comparison
Before-and-after comparison

A staged correction method for a severely upturned contracted nose

After total removal of implants due to inflammation left a severely upturned contracted nose, the septum and lower lateral cartilage were reconstructed using autologous rib cartilage and the skin was stretched via a closed approach.

Preoperative condition · Postoperative record

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